| NPI | 1942402763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101261112) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD13756) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-06-21 |