| NPI | 1629509583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 96828) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA none) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-08-30 |