| NPI | 1902902372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 42530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42530) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-12-08 |