| NPI | 1912167545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD456011) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD456011) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA L-236911) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-04-09 |