| NPI | 1336764901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD210011715) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD479363) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NJ 25MA12715500) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2026-09-10 |