| 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 |