| NPI | 1144314519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NM 2001-128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2001128) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NM 2001-128) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-09-22 |