| NPI | 1508284720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 269388) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 269388) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 269388) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-02-03 |