| 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 |