NPI | 1538421094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ID M-13784) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MT MED-PHYS-COM-LIC-147) |
208D00000X General Practice (Licence: MT MED-PHYS-COM-LIC-147) | |
208D00000X General Practice (Licence: ID M-13784) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2025-02-11 |