| NPI | 1053514497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61105286) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2011-0120) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD61105286) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NM MD2011-0120) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-10-30 |