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 |