| NPI | 1760701445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q7960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196836) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT196836) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2017-02-02 |