NPI | 1386209815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0099660) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0099660) |
Enumeration Date | 2019-05-09 |
Last Update Date | 2024-05-07 |