| NPI | 1679599377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G57808) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G57808) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-05-03 |