NPI | 1225293301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 249756) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60249756) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2021-05-03 |