| NPI | 1427587765 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT213820)  | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL TRN34332)  | 
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: SC 93893)  | |
| Enumeration Date | 2017-06-09 | 
| Last Update Date | 2025-08-04 |