| NPI | 1245760693 |
|---|---|
| Former Name | AMY JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4351037789) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351037789) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301113170) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |