| NPI | 1649210329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 21414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 21414) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CO 21414) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-09-30 |