| NPI | 1811519697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI DO01238) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020113) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-06-20 |