| NPI | 1619104445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MN 54951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54951) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MN 54951) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-01-19 |