| NPI | 1134461569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD d81897) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A163414) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A163414) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2022-05-12 |