| NPI | 1437642279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OK 6803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 6803) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-01-20 |