NPI | 1881425361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MO 2024032007) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MO 2024032007) |
Enumeration Date | 2024-08-08 |
Last Update Date | 2024-08-08 |