| NPI | 1952946253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA na) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW137321) |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2021-09-01 |