| NPI | 1346602703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD19878) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD469357) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-09-09 |