| 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 |