| NPI | 1841809696 |
|---|---|
| Former Name | JENNA M GOGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010296A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28220757A) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-08-27 |