| NPI | 1700056033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 13287) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CT 8581) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 2777000957) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0024178144) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: WV 104979) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NH 081831-23) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CO 0001166) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 344401) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: MN 5573) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NV 820843) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: RI APRN02420) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IA A159261) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NM TEMP60444) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: ME CNP171188) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-09-24 |