| NPI | 1477336873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0024188147) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0001186247) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-09-14 |