| NPI | 1942864780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A180995) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD19160) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-10-16 |