| NPI | 1912280116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NM MD2023-1186) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2023-1186) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2023-09-06 |