| NPI | 1669590584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 45283) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 241652) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 45283) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-04-19 |