| NPI | 1871117416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0116034228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0116034228) |
| 207R00000X Internal Medicine (Licence: VA 0116034228) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2026-06-03 |