| NPI | 1720583818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA OS020328) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD H0087983) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MB12089100) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 25MB12089100) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD H0087983) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA OS020328) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-06-19 |