| NPI | 1972922870 |
|---|---|
| Former Name | JENNIFER BLACKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10160500) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD461601) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-08-20 |