NPI | 1932392735 |
---|---|
Former Name | JENNIFER ANNE BALOGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9182074) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9182074) |
363LF0000X Nurse Practitioner, Family (Licence: AL 3-001735) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1151422) | |
Enumeration Date | 2007-08-24 |
Last Update Date | 2024-04-30 |