| NPI | 1679077069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD20499) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 294734) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-06-26 |