| NPI | 1306941828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MO 2002010048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2002010048) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2002010048) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-10-02 |