| NPI | 1780242263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: CO DR.0065034) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL0007504) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-08-11 |