| NPI | 1730836396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 14013) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2025-08-14 |