| NPI | 1932129509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VT 042-0009826) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042-0009826) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-03-06 |