| NPI | 1881988616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301098237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098237) |
| 208000000X Pediatrics (Licence: MI 4301098237) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-10-06 |