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 |