| NPI | 1386136851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 291149) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04330) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-06-09 |