| NPI | 1790915064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL OS10852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS 10852) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2025-05-27 |