| NPI | 1528551280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A203825) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD472534) |
| 207P00000X Emergency Medicine (Licence: PA MD472534) | |
| 207P00000X Emergency Medicine (Licence: NJ 25MA11102900) | |
| 207P00000X Emergency Medicine (Licence: CA A203825) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD472534) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-08-21 |