| NPI | 1871020834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 96328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 96328) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-21 |
| Last Update Date | 2024-01-09 |