| NPI | 1407593759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME179933) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL 13546879) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2026-07-15 |