| NPI | 1205190568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 11161806-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09761900) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2021-10-28 |