| NPI | 1679502314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 24685) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN 24685) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-10-21 |