| 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) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA10929200) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-04-28 |