| NPI | 1811107832 |
|---|---|
| Former Name | CHANDRA M. JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD154373) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 76589) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-03-22 |