| NPI | 1346746930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A167046) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 167046) |
| 207Q00000X Family Medicine (Licence: CA A176046) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-09-18 |