| NPI | 1225488133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MA 278152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267763) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-01-03 |