| NPI | 1265924955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD17556) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 1021779) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2025-08-07 |