| NPI | 1821066085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA 60935430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 205246) |
| 207R00000X Internal Medicine (Licence: CT 049592) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301505786) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-05-03 |