NPI | 1023088820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 222866) |
Additional Taxonomies | 208D00000X General Practice (Licence: CT 61304) |
207Q00000X Family Medicine (Licence: MA 222866) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2024-01-03 |