| NPI | 1063447852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: PA OS012313) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS012313) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-05-16 |