| NPI | 1669799342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 283902) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: MA 283902) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-04-04 |