| NPI | 1841490950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-11021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008847) |
| 207R00000X Internal Medicine (Licence: UT 11758461-1205) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: UT 11758461-1205) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-07-12 |