| NPI | 1306013776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR MD154242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60632956) |
| 207R00000X Internal Medicine (Licence: OR MD154242) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2026-02-03 |