| NPI | 1194187864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 67986-20) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WI 67986-20) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-10-16 |