| NPI | 1710257290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: MD D81554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255431) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2023-06-07 |