| NPI | 1316258775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NY 270676) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 270676) |
| 207Q00000X Family Medicine (Licence: CT 053322) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: RI MD17941) | |
| 207R00000X Internal Medicine (Licence: CT 53322) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 053322) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-09-21 |