| NPI | 1245432434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 245364) |
| Additional Taxonomies | 208D00000X General Practice (Licence: RI LP01095) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 245364) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-02-02 |