| NPI | 1225693641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| 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 | 2024-07-01 |