| NPI | 1801820972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CT 043743) |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CT 043743) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-08-28 |