| NPI | 1811248362 |
|---|---|
| Former Name | JENNIFER BODNAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704222319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704222319) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-02-25 |