| NPI | 1063891497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 021228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464476) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 21228) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-07-11 |