| NPI | 1215553433 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301510095)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301510095)  | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046138)  | |
| Enumeration Date | 2020-06-23 | 
| Last Update Date | 2024-06-13 |