| NPI | 1992733166 |
|---|---|
| Former Name | JENNIFER JEAN VIERTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200501812) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 63573) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-06-19 |