| NPI | 1326149139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA053964) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 053964) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: GA 053964) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 053964) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-12-17 |