| NPI | 1609939487 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 3304) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 3304) | 
| Enumeration Date | 2006-12-19 | 
| Last Update Date | 2012-06-15 |