| NPI | 1063760676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 27415) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: WV 27415) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-12-04 |