| NPI | 1558510396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 38810) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 38810) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-01-22 |