| NPI | 1548812449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME172892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.247867) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-10-09 |