| NPI | 1760819304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U5100) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME128403) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 39020000X) | |
| 207RH0000X Internal Medicine, Hematology (Licence: FL ME128403) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-12-14 |