| NPI | 1518194562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A116975) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CA A116975) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-03-17 |