| NPI | 1962248278 |
|---|---|
| Former Name | JENNIFER DIANE KINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95382973) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95382973) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |