| NPI | 1487622502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101052842) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: VA 0101052842) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101052842) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2023-08-09 |