| NPI | 1740483932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME110831) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-049408) |
| 207Q00000X Family Medicine (Licence: FL ME110831) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-21 |