NPI | 1629631395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 100905) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 100905) |
2086S0102X Surgery, Surgical Critical Care (Licence: GA 100905) | |
Enumeration Date | 2019-04-18 |
Last Update Date | 2024-07-31 |