| NPI | 1215910237 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N1050) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME91092) | 
| Enumeration Date | 2005-11-23 | 
| Last Update Date | 2019-03-20 |