| NPI | 1790912285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 248998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-240170) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 248998) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-09-01 |