| NPI | 1043535123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: MD D81875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 260001) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2020-09-29 |