NPI | 1346540705 |
---|---|
Former Name | GRETCHENJAN CUBE LACTAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI DOS1515) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A11651) |
Enumeration Date | 2010-11-01 |
Last Update Date | 2020-06-25 |