NPI | 1295702611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 228462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228462) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 228462-1) | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2020-07-21 |