| NPI | 1235484072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 38282) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX R8371) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-18 | 
| Last Update Date | 2019-08-07 |