NPI | 1871797977 |
---|---|
Former Name | JENNIFER A RAJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WI 152277) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3111) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2012-08-16 |