| NPI | 1831644004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A184694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A184694) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A184694) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2025-01-03 |