| NPI | 1851652390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-00695) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP02614) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-10-18 |