| NPI | 1497074298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: GA 68404) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 68404) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: GA 68404) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 68404) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: GA 68404) | |
| 208D00000X General Practice (Licence: NY 261986) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2023-08-14 |