| NPI | 1477047074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 291987) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04439) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-06-29 |