| NPI | 1982058731 |
|---|---|
| Former Name | JENNIFER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: TN 59930) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 59930) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2025-03-12 |