| NPI | 1972038024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 61681) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MO 2023033243) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2025-06-24 |