| NPI | 1841698966 |
|---|---|
| Former Name | JENNA M FREITAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2345802) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2023-10-12 |