| 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 |