| NPI | 1831726322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NV 26989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61423801) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-11-13 |