| NPI | 1467556027 |
|---|---|
| Former Name | JENNIFER MAE CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 107980) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60167314) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-12-01 |