| NPI | 1083243646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 331814) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP05058) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-08-13 |