| NPI | 1831489566 | 
|---|---|
| Former Name | JENNIFER GINA MARSHALL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101274016) | 
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2015007392) | 
| Enumeration Date | 2011-04-14 | 
| Last Update Date | 2022-04-20 |