| NPI | 1982135463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 282032) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MA 282032) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-04-17 |