| NPI | 1003883588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN 31311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 31311) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-09-19 |