| NPI | 1710099783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MI 4301104174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008731) |
| 204R00000X Electrodiagnostic Medicine (Licence: MI 4301104174) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-08 |