| NPI | 1568723526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD15483) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02625) |
| 207P00000X Emergency Medicine (Licence: NM MD2018-0799) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2025-03-05 |