| NPI | 1942740949 |
|---|---|
| Former Name | JENNIFER AUSTRIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 60732868) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA 60732868) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |