| NPI | 1659799989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 62435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD175771) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 62435) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-06-03 |