| NPI | 1992966311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR MD153239) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD153239) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2025-12-10 |