| 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 |