NPI | 1992790406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101048833) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 010148833) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2021-08-05 |