| NPI | 1205059243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD12968) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301081697) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-02-04 |