| NPI | 1235120023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MI 4301066182) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI KM066182) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2017-04-07 |