NPI | 1316966815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA G64542) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G64542) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2015-01-13 |