| NPI | 1609958305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 220125) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 220125) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-05-29 |