NPI | 1780759076 |
---|---|
Former Name | JEAN E FRENKIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 02442) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 02442) |
363AM0700X Physician Assistant, Medical (Licence: PA OA002811) | |
363AM0700X Physician Assistant, Medical (Licence: PA MA054657) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2021-07-19 |