NPI | 1104089812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MI 4301111224) |
Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD443863) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192249) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2017-01-12 |