| NPI | 1063949501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A165626) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A165626) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-10-01 |