NPI | 1922101054 |
---|---|
Former Name | JENNIFER L ZACHARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OK R0074918) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OK 03848090) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2024-04-16 |