NPI | 1821521105 |
---|---|
Former Name | JENNIFER LYNN ROMINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2022-01048) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 10959189-1205) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2022-08-02 |