| NPI | 1558315093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME92796) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 92796) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-12-07 |