| NPI | 1790880169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD12928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR MD26853) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-11-03 |