| NPI | 1871954701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR MD204542) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OR MD204542) |
| 207R00000X Internal Medicine (Licence: OR MD204542) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD204542) | |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2022-08-03 |