| NPI | 1497902423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101243740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 206479) |
| 207LA0401X Anesthesiology, Addiction Medicine (Licence: MD D0079570) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2015-08-05 |