| NPI | 1417064536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO523) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: AL DO523) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-03-10 |