| NPI | 1033738125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-01652) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 2023-01652) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-09-16 |