| NPI | 1992364822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD20563) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD478407) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2025-07-24 |