| NPI | 1104979830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS10978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO1281) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-02-04 |