NPI | 1972708675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 61845) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO28980) |
207R00000X Internal Medicine (Licence: CT 61845) | |
207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 287202) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2021-06-01 |