| NPI | 1134623192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN NA) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN NA) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-03-13 |