NPI | 1861662561 |
---|---|
Former Name | JENNIFER LEIGH CHANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 46214) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 46214) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2020-06-26 |