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 |