| 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 |