| NPI | 1013137603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A63883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A63883) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-05-15 |