| NPI | 1124686456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD19244) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04622) |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2023-06-07 |