| NPI | 1821620642 |
|---|---|
| Former Name | JENNIFER SPEERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0092945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 92945) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-10-26 |