| NPI | 1780687145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NH 10880) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 10880) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-04-13 |