| NPI | 1861862989 |
|---|---|
| Former Name | JENNIFER ANNE MOBERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP8081) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-01-10 |