| 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 |