| NPI | 1407054778 |
|---|---|
| Former Name | JENNIFER DAWN WILKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: WA OP60280565) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 044816) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OH 34.009622) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 34.009622) | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: WA OP60280565) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA OP60280565) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2013-06-17 |