| NPI | 1710249826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R4663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020092) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09707700) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS0184466) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM A-2143-18) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-02-09 |