NPI | 1730289083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A39702) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A39702) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2022-07-21 |