| NPI | 1225098908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 53143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200500833) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2020-09-11 |