| NPI | 1316934185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 034917) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 034917) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-02-22 |