| NPI | 1700879582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD61366027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61366027) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 26173) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IN 01036940A) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35057259) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-03-08 |