| NPI | 1104843911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO203436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO1408) |
| 207QA0401X Family Medicine Addiction Medicine (Licence: NV DO1408) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-04-17 |