| NPI | 1508084666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 56353) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-11-18 |