| NPI | 1972506814 |
|---|---|
| Former Name | JENNIFER KAY IRELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60325791) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 5430) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2021-04-28 |