| NPI | 1922448117 |
|---|---|
| Former Name | JENNIFER MARIE HOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 7080-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 7080-15) |
| 1223G0001X Dentist, General Practice (Licence: GA DN015596) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN25620) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-01-31 |