| NPI | 1356587638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 251200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 251200) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2020-12-18 |