NPI | 1124372677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NJ 25MA09279700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09279700) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY TP620) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2023-03-03 |