| NPI | 1770284168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA PA100422) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-02-22 |