| NPI | 1972033025 |
|---|---|
| Former Name | JENNA RUTH KASTAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA12248500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT213856) |
| 207Q00000X Family Medicine (Licence: PA MD470167) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-11-11 |