| NPI | 1700829827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133564) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AL 4183) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MS 18338) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-08-22 |