| NPI | 1902097892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 5101017265) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017265) | 
| Enumeration Date | 2007-08-06 | 
| Last Update Date | 2013-12-02 |