| NPI | 1003894452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NM MD2023-0222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA D53590) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NM MD2023-0222) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2024-05-30 |