| NPI | 1881950632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0067115) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA 61574182) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A127049) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: CO DR.0067115) | |
| 207Q00000X Family Medicine (Licence: CA A127049) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-09-12 |