| NPI | 1730649864 |
|---|---|
| Former Name | JESSICA WALPOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.148664) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.148664) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-09-05 |