| NPI | 1053630640 |
|---|---|
| Former Name | JENNIFER ANN MILLER MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IA MD-42318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-42318) |
| 2083A0300X Preventive Medicine Addiction Medicine (Licence: IA MD-42318) | |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2024-09-19 |