| NPI | 1013237825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME118489) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01941) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-06-02 |