| NPI | 1972592723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine (Licence: NM MD2005-0580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD20050580) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2025-02-11 |