| NPI | 1952749764 |
|---|---|
| Former Name | JENNIFER CHRISTINE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NM cnp02203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP 02203) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-07-13 |