NPI | 1053630640 |
---|---|
Former Name | JENNIFER ANN MILLER MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-42318) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-42318) |
Enumeration Date | 2010-05-23 |
Last Update Date | 2015-06-30 |