| NPI | 1548897028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 1015000) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 1015000) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-07-10 |