| NPI | 1265161335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 20A25316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A25316) |
| 207R00000X Internal Medicine (Licence: MI 5101028805) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-06-29 |