| NPI | 1376806851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 319468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1245) |
| 207Q00000X Family Medicine (Licence: TN 52517) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 319468) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-07-22 |