| NPI | 1891377487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A194462) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: CA A194463) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2025-08-28 |