| NPI | 1558748053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61567554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB10191200) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA OP61567554) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2025-02-04 |