| NPI | 1467599449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: NC 28650) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC NC 028650) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-07-24 |