| NPI | 1134548340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WI 7268-20) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35130253) |
| 207Q00000X Family Medicine (Licence: PA MT205567) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: WI 72682-20) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-02-20 |