| NPI | 1356752075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A138702) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A138702) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A138702) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2026-04-30 |