| NPI | 1932157997 |
|---|---|
| Former Name | ADA S JEMISON-BULLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX G7176) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX G7176) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-05 |