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) |
Enumeration Date | 2017-06-09 |
Last Update Date | 2022-05-16 |