NPI | 1891076972 |
---|---|
Former Name | JENNA LOHMOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WI 10613) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10613) |
Enumeration Date | 2011-09-02 |
Last Update Date | 2021-03-19 |