NPI | 1902950538 |
---|---|
Former Name | JENIFER I DEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A92881) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A92881) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2021-03-17 |