| NPI | 1588227417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 291123) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 291123) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 291123) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-11-30 |