| 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 |