| NPI | 1538181748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NV 16723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G40142) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2026-04-29 |