NPI | 1528278116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 201847) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: LA 201847) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-10-03 |