| NPI | 1982718946 |
|---|---|
| Former Name | JENNIFER ANN HEADINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G76892) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G76892) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |