NPI | 1235754896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA11898500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD479070) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-09-03 |