| NPI | 1619269487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD183876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199301) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199301) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2019-11-20 |