| NPI | 1467427500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: IN 01066593A) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WV 20857) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-03-09 |