| NPI | 1013412386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA11921500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61055643) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-02-20 |