NPI | 1790004539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 26981) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0054546) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2022-04-08 |