| NPI | 1619192408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101247659) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP00989) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-10-06 |