| NPI | 1518107507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 277170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277170) |
| 207R00000X Internal Medicine (Licence: MA 235718) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2021-03-22 |