| NPI | 1194140772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 28072) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 28072) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |