| NPI | 1902391410 |
|---|---|
| Former Name | JENNA A LANDWEHR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8713-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 223532-30) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2020-03-27 |