| NPI | 1689835225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AR e-6205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-6205) |
| 207Q00000X Family Medicine (Licence: AR e-6205) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-07-13 |