| NPI | 1295994275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A117586) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MO 2022018764) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 64451) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 64451) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2022-11-16 |