| NPI | 1417114307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 149270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 149270) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA03980800) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |