NPI | 1841720331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD470705) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10929200) |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD470705) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2021-11-17 |