| NPI | 1902153026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 292389-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072117A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 292389) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-12-04 |