| NPI | 1215227244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A124695) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: CA A124695) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A124695) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-02-07 |