NPI | 1457646564 |
---|---|
Former Name | JENNIFER M MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 302338) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33681) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 302338) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC LL33681) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2018-01-10 |