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 |