| NPI | 1982772703 |
|---|---|
| Former Name | JENNIFER ANN SPITLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: MS 22462) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2006005294) |
| 208600000X Surgery (Licence: DC MD036941) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-09-20 |