| NPI | 1669418182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA A75010) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A75010) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-08-01 |