| NPI | 1417020793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: WI 63296-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30822) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-05-07 |