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 |