NPI | 1396124608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1015346) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7155) |
207R00000X Internal Medicine (Licence: NY 288699) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: TX S7155) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2023-07-04 |