| NPI | 1053766329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 12682794-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57597) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2022-04-20 |