| NPI | 1902912843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 74773) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NH 14094) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-02-15 |