| NPI | 1982651360 |
|---|---|
| Former Name | JENNIFER MOFFA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: TN 65277) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD070279L) |
| 207P00000X Emergency Medicine (Licence: MD D47172) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-08-09 |