| NPI | 1134173594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D57871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D57871) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-08-25 |