| NPI | 1871796243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD15651) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 263660-1) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-12-14 |