| 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 |