| NPI | 1770607665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 19142) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: TN 19142) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-09 |