NPI | 1962906412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA11051600) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NY 301666) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2023-08-21 |