NPI | 1770553463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 27472) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: KY 27472) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2023-03-07 |