| NPI | 1033567474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A167859) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03715) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2021-02-09 |