| NPI | 1598926891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 52283) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD15169) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2026-05-02 |