| NPI | 1831355346 |
|---|---|
| Former Name | JENNA C PETSCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036-133212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52031) |
| 207K00000X Allergy & Immunology (Licence: MN 52031) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-11-13 |