| NPI | 1194758219 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A102811) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD13560) | 
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CA A102811) | |
| 207P00000X Emergency Medicine (Licence: PA MD424637) | |
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2023-05-23 |