NPI | 1801892419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA TD61189091) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A54315) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A54315) | |
Enumeration Date | 2005-06-28 |
Last Update Date | 2021-07-13 |