NPI | 1104893817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL MD.38543) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: AL 38543) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2023-02-14 |