| NPI | 1952892747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 22652) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04267) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-06-23 |