| NPI | 1023467115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 298054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267519) |
| 207R00000X Internal Medicine (Licence: NY 298054) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-03-19 |