| NPI | 1235182692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: PA OS005339L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB50026) |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NJ MB50026) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-03-28 |