| NPI | 1376569525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D32567) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D00032567) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D32567) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-03-19 |