NPI | 1033119284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NY 202482) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 202482) |
207R00000X Internal Medicine (Licence: CA C52221) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA C52221) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2023-12-20 |