| NPI | 1952370058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 30263) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME137051) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-08-09 |