NPI | 1700107745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: GA 96046) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN14922) |
207RH0000X Internal Medicine, Hematology (Licence: OR MD200224) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: LA MD.206180) | |
Enumeration Date | 2010-06-14 |
Last Update Date | 2023-08-17 |