| NPI | 1013935659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA06323200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 211621) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA06323200) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-12-30 |