NPI | 1639213366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: MO 35725) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036-058285) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2015-10-09 |