| NPI | 1063941540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01098) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI tbd) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-06-29 |