| NPI | 1013530161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 192353) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04875) |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2025-01-14 |