| NPI | 1275025546 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024176451) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176451) | 
| Enumeration Date | 2018-06-03 | 
| Last Update Date | 2019-10-14 |