| NPI | 1730686312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 68903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 72387-20) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-06-15 |