| NPI | 1790004539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD491611) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WV 26981) |
| 207R00000X Internal Medicine (Licence: CO DR.0054546) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-10-03 |