| NPI | 1023046901 |
|---|---|
| Former Name | JENNIFER LESLIE ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN MD42905) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NY 2399161) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-03-31 |