| NPI | 1790892776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX J4055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J4055) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-09-07 |