| NPI | 1871615344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN 22187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 22187) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 22187) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-03-17 |