| NPI | 1174884613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 60627788) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02583) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-23 |