| NPI | 1679991806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 288738) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD17080) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2021-07-15 |