NPI | 1992201727 |
---|---|
Former Name | JENNIFER ELIZABETH MCLOUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308623-1) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2019-11-21 |