| NPI | 1821641572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME CNP191029) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 207Q00000X) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-02-20 |