| NPI | 1356846968 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD 61-1126177) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0091567) | 
| Enumeration Date | 2018-03-26 | 
| Last Update Date | 2025-02-07 |