NPI | 1629542584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1038) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NM MD2023-1038) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-07-02 |