| 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 |