| NPI | 1225485204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME145392) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP03672) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-06-28 |