| NPI | 1831267152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ MB69803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2012015751) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 61-19569) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-02-27 |