| NPI | 1700086410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 61263) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 53303) |
| 207R00000X Internal Medicine (Licence: MI 4301090585) | |
| 207RH0000X Internal Medicine, Hematology (Licence: MN 104962) | |
| 207RH0000X Internal Medicine, Hematology (Licence: MN 53303) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-10-01 |