| 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 |