| NPI | 1215179106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 55290) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RH0000X Internal Medicine, Hematology (Licence: CT 55290) | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2016-08-18 |