| NPI | 1629425046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 283634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16644) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 283634) | |
| 207R00000X Internal Medicine (Licence: RI LP03593) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-10-02 |