| NPI | 1730294455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 8528) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NV 8528) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA C42144) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: ID M-10233) | |
| 208M00000X Hospitalist (Licence: CA C42144) | |
| 208M00000X Hospitalist (Licence: NV 8528) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-10-25 |