| NPI | 1801879861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301107123) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD11749) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-02-26 |