| NPI | 1215597174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI LP04708) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 342265-01) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2026-04-16 |