| NPI | 1518192293 |
|---|---|
| Former Name | JILL MONIQUE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 65122) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 269270) |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2020-01-10 |