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 |