| NPI | 1073575049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD10303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI 10303) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD10303) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-11-18 |