NPI | 1831863695 |
---|---|
Former Name | JENNIFER CHRISTI HERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30161) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 30161) |
363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-148288) | |
Enumeration Date | 2021-08-05 |
Last Update Date | 2024-08-29 |