| NPI | 1285927418 |
|---|---|
| Former Name | JENNIFER MUNROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 066384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 066384) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 066384) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 66384) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2022-10-13 |