| NPI | 1811151707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO00735) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 251406) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-04-21 |