| NPI | 1245543214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A132377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A132377) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2025-01-08 |