| NPI | 1689134355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 328696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MB11759000) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 328696) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-11-08 |