| NPI | 1932207560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 043200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD11611) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-01-08 |