| NPI | 1356601231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 55570) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD15490) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2016-08-15 |