NPI | 1396775888 |
---|---|
Former Name | JENNIFER JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME87766) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC NC200401025) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-07-21 |