| NPI | 1558567735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: WI 49289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 49289) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 49289) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2025-09-11 |