NPI | 1598388480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT229758) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046350) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA HS000007L) | |
Enumeration Date | 2020-05-26 |
Last Update Date | 2023-07-11 |