| NPI | 1992017255 |
|---|---|
| Former Name | JENNIFER ELIZABETH DESANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.126755) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197779) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2017-04-11 |