NPI | 1912323304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX Q9452) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72803) |
207R00000X Internal Medicine (Licence: TX Q9452) | |
Enumeration Date | 2014-03-10 |
Last Update Date | 2022-12-02 |