| NPI | 1932411683 |
|---|---|
| Former Name | JENNIFER ANNA LEE SNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q4699) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q4699) |
| 208600000X Surgery (Licence: OK 4961) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2022-07-29 |