| NPI | 1083755789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: WI 31285-020) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 31285-020) |
| 208D00000X General Practice (Licence: WI 31285-020) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-04-10 |