| NPI | 1851599583 |
|---|---|
| Other Name | JENNIFER MICHELLE PONNAPPAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036124549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 45746) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-02-03 |