| NPI | 1215978242 |
|---|---|
| Former Name | MICHELLE E JACOBS ELLIOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME62747) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-10-08 |