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 |