| NPI | 1134485683 |
|---|---|
| Former Name | JENNIFER GOMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101022402) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 5101022402) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2026-02-06 |