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 |