| NPI | 1093127862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD16189) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03045) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2018-03-17 |