NPI | 1497239677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 277042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 277042) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2019-03-04 |