| NPI | 1962662478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2016-02456) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 2016-02456) |
| 207R00000X Internal Medicine (Licence: VA 0102203602) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2021-04-01 |