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 |