| NPI | 1053977686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT224916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04520) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-06-22 |