NPI | 1568673606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CO DR.0044190) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0044190) |
2083A0300X Preventive Medicine Addiction Medicine (Licence: CO DR.0044190) | |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CO 44190) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-03-30 |