| NPI | 1902021884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 250068) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP00361) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-05-31 |