| NPI | 1871945204 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2021043471)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315077820)  | 
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 249798)  | |
| Enumeration Date | 2016-07-11 | 
| Last Update Date | 2022-07-22 |