NPI | 1699866368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA C41594) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA C41594) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |