| NPI | 1871930743 |
|---|---|
| Former Name | CHRISTINA GAYLE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME137610) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10046757) |
| 207Q00000X Family Medicine (Licence: SC 40145) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-02-24 |