| NPI | 1578981114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 297534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 297534) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS 2014-0316) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-08-03 |