NPI | 1932551504 |
---|---|
Former Name | JENNIFER ANNE HONERLAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2021046417) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019392) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2022-03-07 |