NPI | 1114211091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A156556) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 25MA09931600) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-10-10 |