| NPI | 1366869729 |
|---|---|
| Former Name | ERIN ELIZABETH JEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2017003729) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-05-20 |