| NPI | 1871813600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 273730) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01935) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-03-13 |