| NPI | 1790132165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX T4856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4856) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 102700) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-10-31 |