| NPI | 1699865592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 224773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 224773) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-03-31 |