NPI | 1003021007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 195627) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 195627) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2025-09-08 |