| NPI | 1669905295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301503141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301503141) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-10-10 |