| NPI | 1124031729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 231929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426493) |
| 207R00000X Internal Medicine (Licence: NY 231929) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-04-01 |