| NPI | 1598908485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34010211) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 60 252295) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS014921) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2013-11-20 |