| NPI | 1740847334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD19102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04524) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-06-07 |