| NPI | 1548304892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OK 25428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 25428) |
| 207Q00000X Family Medicine (Licence: AZ 54065) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-06-23 |