| NPI | 1962653543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: NH 17990) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: VT 0013793) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 208877-1) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-06-17 |