| NPI | 1568568202 |
|---|---|
| Other Name | GIAVANNA P BOUTHIETTED MD MBR |
| Entity Type | Organization |
| Authorized Contact | GIAVANNA P BOUTHIETTE Mbr 402-461-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |