| NPI | 1760910467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD479928) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A157266) |
| 207Q00000X Family Medicine (Licence: CA A157266) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-08-02 |