| NPI | 1376047456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A183742) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 61075056) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-03-08 |