| NPI | 1760757892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 69723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69723) |
| 207RH0000X Internal Medicine, Hematology (Licence: MN 69723) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 307234) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-05-04 |