| NPI | 1023496809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD16567) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03289) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-07-02 |