| NPI | 1841552338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD12345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.206394) |
| 207RH0000X Internal Medicine, Hematology (Licence: LA MD.206394) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-06-03 |