| NPI | 1205034006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD442515) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD442515) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2025-01-30 |