NPI | 1114207172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX P8435) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446363) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301503367) | |
Enumeration Date | 2011-08-23 |
Last Update Date | 2023-11-29 |