| NPI | 1053475087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A82604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A82604) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-01-18 |