| NPI | 1760607659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD13001) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP00189) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2011-08-30 |