| NPI | 1528553674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01348) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS022958) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-07-03 |