| NPI | 1952710287 |
|---|---|
| Former Name | JENNIFER NICOLE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0092519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 72953) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MD H0092519) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2022-02-10 |