| NPI | 1366659310 |
|---|---|
| Former Name | JAMIE KORIN FOUNTAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.093066) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-12-07 |