| NPI | 1356703722 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301507048)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01196)  | 
| Enumeration Date | 2016-03-24 | 
| Last Update Date | 2022-07-15 |