NPI | 1871947069 |
---|---|
Former Name | JENNIFER L FLETCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4542) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 151410-30) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2023-10-16 |