| NPI | 1831532167 |
|---|---|
| Former Name | JENNA LYNN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0439742) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10047221) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-03-19 |