| NPI | 1629366190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A126653) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A126653) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-06-24 |