| NPI | 1992865273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 16009A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5806630-1205) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: UT 5806630-1205) | |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2024-01-04 |