| NPI | 1053644179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 272489) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 272489) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 2024-02178) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OR MD218904) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD.MD.60239397) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CO DR.0070137) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35.145681) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2024-11-11 |