NPI | 1740555317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A129860) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129860) |
207R00000X Internal Medicine (Licence: NC 172986) | |
Enumeration Date | 2012-03-15 |
Last Update Date | 2018-03-17 |