| NPI | 1861074460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301514206) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.151234) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-05-06 |