| NPI | 1164043709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 95013034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013034) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-09-15 |