NPI | 1558999292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD483187) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD483187) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-06-04 |