| NPI | 1578925160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 70048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027630) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 62368) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-10-26 |