| NPI | 1225639768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME MD30477) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD30477) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2026-05-29 |