| NPI | 1740315654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MA 254223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 060-000-3432) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-09-11 |