| NPI | 1962555292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D35694) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD D35694) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-09-17 |