| NPI | 1164943908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 110647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR T2020-168) |
| 207R00000X Internal Medicine (Licence: WI 81625-20) | |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2026-08-12 |