| NPI | 1932182177 |
|---|---|
| Former Name | JENNIFER L NOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 748-23) |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WI 748-023) |
| 363A00000X Physician Assistant (Licence: WI 748023) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-11-18 |