NPI | 1801075874 |
---|---|
Former Name | JENNIFER KAY BECKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 66453) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AL MD.43186) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-14671) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 29413) | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2021040846) | |
Enumeration Date | 2007-10-26 |
Last Update Date | 2025-05-28 |