| NPI | 1992142475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 54433) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY R4623) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-04-20 |