| NPI | 1689164923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TX BP10078598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 68088) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-07-20 |