| NPI | 1619364866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A144600) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A144600) |
| 2086S0102X Surgery Surgical Critical Care (Licence: CA A144600) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-03-20 |