| NPI | 1932587714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 38870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 55467) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: AL 38870) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-02-21 |