NPI | 1346753779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 0215751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 0215751) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2020-01-09 |