| NPI | 1396087698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 126801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25907) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME126801) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-03-14 |