| NPI | 1003076001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: GA 71280) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: GA 71280) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2016-05-12 |