| NPI | 1275066524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX U1075) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U1075) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA 172870) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-09-04 |