| NPI | 1538369830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A75516) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD445404) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: DC MD037861) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IA MD-50298) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 0101251183) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD D73518) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-08-15 |