| NPI | 1134445620 |
|---|---|
| Former Name | JENNIFER LAUREN MUNCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX Q3601) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2015-12-11 |