| NPI | 1922347160 |
|---|---|
| Former Name | JENNIFER DENISE BOWLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5006050) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006050) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2023-10-20 |