NPI | 1326018060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD D0061099) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0012031) |
207P00000X Emergency Medicine (Licence: MD D0061099) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: DE C1-0012031) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: DE C10012031) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2024-05-14 |