| NPI | 1053976514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 67783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67783) |
| 207R00000X Internal Medicine (Licence: MN 29957) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-06-30 |