| NPI | 1811296254 |
|---|---|
| Former Name | JENIFER JARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NV 22622) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R0933) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2023-01-27 |