| NPI | 1992820930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 190822-1) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 190822) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-12-21 |