| NPI | 1659786275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MI 4301500764) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CT 62126) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MI 4301500764) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-02-12 |