| NPI | 1295269595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2020-0202) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NM MD2020-0202) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2026-05-13 |