| NPI | 1871838714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 57762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 57762) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |