NPI | 1821114380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 228099) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228099) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-03-22 |