NPI | 1225693641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA 20A20362) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A20362) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2024-10-25 |