NPI | 1942483003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 231523) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 231523) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2014-07-31 |