| NPI | 1679501548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 462178) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: PA 462178) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-26 |