| NPI | 1477731594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: ME 2190) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 3401) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2013-09-24 |