| NPI | 1013930759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: KY 33224) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 33224) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-12-04 |