NPI | 1538352836 |
---|---|
Former Name | JENNIFER E LANDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 60218171) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA a98783) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2022-06-09 |