| NPI | 1538103478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME MD17120) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD17120) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-08-31 |