| NPI | 1518024801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA ma54221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA ma54221) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA ma54221) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-04-30 |