| NPI | 1487815601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME162870) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL ME162870) |
| 208D00000X General Practice (Licence: VA 0101268436) | |
| 207P00000X Emergency Medicine (Licence: FL ME162870) | |
| 207P00000X Emergency Medicine (Licence: VA 0101268436) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-03-23 |