NPI | 1730969601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 12886) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-09-29 |
Last Update Date | 2025-09-22 |