NPI | 1679068514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 71764) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2021-0376) |
207R00000X Internal Medicine (Licence: IL 125.072425) | |
Enumeration Date | 2018-06-23 |
Last Update Date | 2024-09-24 |