| NPI | 1710110820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA OP60945031) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WY 9521A) |
| 208D00000X General Practice (Licence: CO 48154) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: ID OC-0034) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34.010590) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS015088) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 9495192-1204) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2019-05-08 |