| NPI | 1881724284 |
|---|---|
| Former Name | JENNIFER R BLOOM-LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN-241081 NP-08754) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-11-11 |