| NPI | 1164493136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME 1319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1319) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-07-21 |