| NPI | 1942792007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A183915) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 290588) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2023-03-06 |