| NPI | 1306837034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101038431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0032635) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2021-12-21 |