| NPI | 1932572393 |
|---|---|
| Former Name | JENNA KINSINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2015032917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015010970) |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2016-05-26 |