| NPI | 1720365760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CO 55547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118631) |
| 207R00000X Internal Medicine (Licence: PA MD447066) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2016-02-19 |