| NPI | 1366702391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 67093) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02482) |
| 207P00000X Emergency Medicine (Licence: CA 140403) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-11-04 |