| NPI | 1154773661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX W4942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08978) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036158423) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2026-06-15 |