| NPI | 1871809475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CO DR.0048171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0048171) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-02-11 |