NPI | 1851511158 |
---|---|
Former Name | JENNIFER MARIE ERNST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41884) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35088121) |
208000000X Pediatrics (Licence: KY 41884) | |
207R00000X Internal Medicine (Licence: OH 35088121) | |
Enumeration Date | 2007-04-27 |
Last Update Date | 2023-11-01 |