| NPI | 1750979126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD484498) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA12234500) |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2025-10-08 |