| NPI | 1942733688 |
|---|---|
| Former Name | TANJA PAVLOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MO 2008000935) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |