| NPI | 1285171827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: MI 4301509637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01083223A) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-08-02 |