NPI | 1285881136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME114661) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: LA 204821) |
208D00000X General Practice (Licence: PR 12008I) | |
Enumeration Date | 2008-08-22 |
Last Update Date | 2021-10-27 |