NPI | 1598255465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A178391) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017039468) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2023-06-27 |