| NPI | 1205035318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 242253) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 242253) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2026-08-21 |