| NPI | 1417334970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 55085)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 55085)  | 
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AZ 55085)  | |
| Enumeration Date | 2015-05-04 | 
| Last Update Date | 2024-12-04 |