| NPI | 1700345709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CA A178658) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A178658) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-08-28 |