| NPI | 1750675948 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: UT 9034832-1205) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059140) | 
| Enumeration Date | 2011-06-05 | 
| Last Update Date | 2021-11-11 |