| NPI | 1417201047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 81-249) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NM 81-249) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |