| NPI | 1992907505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 248897) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP01139) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-09-19 |