NPI | 1972690063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA10123300) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 227418) |
207R00000X Internal Medicine (Licence: NY 227418) | |
207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 227418) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2023-06-14 |