| NPI | 1518919869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 64550) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: RI MD12166) |
| 207P00000X Emergency Medicine (Licence: RI MD12166) | |
| 207P00000X Emergency Medicine (Licence: PA MD426866) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-10-08 |