| NPI | 1063776086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NM MD2018-0865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2018-0865) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN17011) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-12-03 |