NPI | 1548764624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 1019340) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1548764624) |
207R00000X Internal Medicine (Licence: MA 1019340) | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-07-11 |