NPI | 1053605261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA 60729673) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55307) |
207R00000X Internal Medicine (Licence: WA MD60729673) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 55307) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2022-06-21 |