| NPI | 1396725693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01077090A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 238182) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.147873) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-04-26 |