| NPI | 1629456280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI LP03328) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 62529) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-02-27 |