NPI | 1093706319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036114011) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 2015472) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2023-08-28 |