| NPI | 1578600763 |
|---|---|
| Former Name | JENNIFER ROSE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 231331) |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 231331) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-03-30 |