| NPI | 1336285246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MS 25590) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: TN 30324) |
| 207L00000X Anesthesiology (Licence: TN 30324) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-10-20 |