| NPI | 1952302044 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 01011252176)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301069879)  | 
| 208M00000X Hospitalist (Licence: VA 0101252176)  | |
| Enumeration Date | 2005-08-10 | 
| Last Update Date | 2021-05-26 |