| NPI | 1144481805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 050596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01368) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2012-11-20 |