| NPI | 1174973275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2021044742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021044742) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 52373) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-11-10 |