| NPI | 1588777569 |
|---|---|
| Other Name | MICHELLE LEE JORGENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: ND 10335) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND 10335) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-08-03 |