| NPI | 1588306559 |
|---|---|
| Former Name | JENNIFER GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD229053) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX V8996) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2026-05-07 |