| NPI | 1851536015 |
|---|---|
| Former Name | JENNIFER LEIG DAMEWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 13667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN APN0000013667) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-11-23 |