| 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 |