NPI | 1528114857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 239455) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 239455) |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 239455) | |
Enumeration Date | 2007-01-27 |
Last Update Date | 2020-02-25 |