| NPI | 1841743010 |
|---|---|
| Former Name | JENNIFER PIERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022319) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-09-01 |