| NPI | 1639407174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 72455-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A112630) |
| 207Q00000X Family Medicine (Licence: WI 72455-20) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-12-11 |