NPI | 1871770891 |
---|---|
Former Name | JENNIFER L ORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 37986) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M8349) |
207Q00000X Family Medicine (Licence: AL MD28989) | |
Enumeration Date | 2008-01-22 |
Last Update Date | 2015-06-22 |