| NPI | 1881154755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine (Licence: CA 20A20056) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.074874) |
| 207P00000X Emergency Medicine (Licence: CA 20A20056) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 20A20056) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-04-30 |