| NPI | 1790772556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 280386) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN md40070) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OH 35-093834) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101250881) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2015-06-29 |