| NPI | 1013237593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 7887891-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 7887891) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-12-17 |