| NPI | 1194733790 |
|---|---|
| Other Name | HEIDI ANN LUNDEEN-BOTROUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 40468-020) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 49792) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-09-16 |