| NPI | 1083021133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 275487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275487) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-05-03 |