| NPI | 1003103532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 304831) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.019074) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2014011938) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-03-17 |