| NPI | 1376801654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD D0090065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D90065) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-04-03 |