| NPI | 1922209386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 7058868-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 7058868-1205) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-11-28 |