Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 036148849 | IL |
N | 207RP1001X | Pulmonary Disease | 036.148849 | IL |
NPI | 1043699689 |
---|---|
Provider Name | Catherine Gao |
First Address | New Haven, CT 06510-3220 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2015 |
Last Update Date | 27/05/2019 |