| NPI | 1467943563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 71018) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04266) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-10-27 |