NPI | 1457588964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA 2012042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103265) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2018-01-24 |