| NPI | 1487651964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: FL ME68224) |
| Additional Taxonomies | 207LA0401X Anesthesiology Addiction Medicine (Licence: OH 35.135244) |
| 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: PA MD466715) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-01-12 |