| NPI | 1326227992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A72078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A72678) |
| 207R00000X Internal Medicine (Licence: KY 50186) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2024-03-20 |