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 |