| NPI | 1104212778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 89007) | 
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: GA 89007) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-10 | 
| Last Update Date | 2022-08-08 |