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 |