NPI | 1104276336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 66903) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 66903) |
207RH0000X Internal Medicine, Hematology (Licence: TN 66903) | |
208D00000X General Practice (Licence: MO 2019009681) | |
Enumeration Date | 2016-06-19 |
Last Update Date | 2024-10-11 |