| NPI | 1336775220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MN 70346) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 70346) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-09-28 |