| NPI | 1952812901 |
|---|---|
| Former Name | JENNIFER THRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00734900) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP017180) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |