| NPI | 1962795047 |
|---|---|
| Former Name | JENNIFER MENGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A067891) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |