| NPI | 1356517965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 53006) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MN 53006) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2023-08-22 |