| NPI | 1790726255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AZ 51090) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD441610) |
| 207R00000X Internal Medicine (Licence: NC TRAINING LICENCE) | |
| 207R00000X Internal Medicine (Licence: FL ME0090412) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 2008-01498) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-09-29 |