| NPI | 1164483087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-084725) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036-084725) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2025-03-24 |