| NPI | 1437362837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2010-0056) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NM 2015094) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-11-21 |