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 |