| NPI | 1508809161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 043988) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 238659-1) |
| 207P00000X Emergency Medicine (Licence: MA 156899) | |
| 207P00000X Emergency Medicine (Licence: RI MD09161) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2026-05-13 |