NPI | 1760831622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD475445) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT 210518) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2022-06-08 |