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 |