| NPI | 1609096668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 28469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6116) |
| 207R00000X Internal Medicine (Licence: PA MD431408) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-05-08 |