NPI | 1891889010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 038302) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 221034-1) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-04-11 |