NPI | 1912119777 |
---|---|
Former Name | JENNIFER KRISTEN MCLENDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA RN129437 NP) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-08 |