| NPI | 1407808744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME148372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 38674) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL 148372) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-09-06 |