NPI | 1114675147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MO 2022013899) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MO 2022013899) |
Enumeration Date | 2022-03-18 |
Last Update Date | 2023-08-21 |