| NPI | 1700223856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD15827) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02798) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-02-08 |