| NPI | 1336171149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MT 60619) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MT 60619) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-11-03 |