| NPI | 1821336215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME142003) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 288678) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME142003) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 288678) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME142003) | |
| Enumeration Date | 2013-01-20 |
| Last Update Date | 2021-04-28 |