| NPI | 1083670665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WI 38184-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 38184-020) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2022-10-03 |