| NPI | 1063534147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301077744) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301077744) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301077744) | |
| 207RH0000X Internal Medicine, Hematology (Licence: MI 4301077744) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301077744) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-02-21 |