| NPI | 1770876872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 171252) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02266) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2015-05-06 |