Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A117761 | CA |
NPI | 1073796009 |
---|---|
Provider Name | Elizabeth Babu |
First Address | Oxnard, CA 93036-0677 |
Second Address | Port Hueneme, CA 93041-2133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 09/08/2016 |