| NPI | 1396940722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CT 048852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048852) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2020-09-25 |