| NPI | 1235579749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 50707) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 50707) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AZ 50707) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2025-07-24 |