| NPI | 1174726582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NM MD2017-0072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2017-0072) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101032883) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-06-20 |