NPI | 1104834860 |
---|---|
Former Name | JENNIFER DEON DUCKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2005-01904) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2014-07-02 |