| NPI | 1285154807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA A167020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 25061) |
| 207Q00000X Family Medicine (Licence: CA A167020) | |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-11-08 |