NPI | 1942732912 |
---|---|
Former Name | MARY HELEN JENNINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY TP156) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 55320) |
207R00000X Internal Medicine (Licence: KY R4557) | |
208000000X Pediatrics (Licence: KY 55320) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2021-06-28 |