| NPI | 1770734188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 0010-06885) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 0673) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NH 0673) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-12-09 |