NPI | 1356406383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME0053829) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0053829) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-02-18 |