NPI | 1912535006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MI 4301508607) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: MI 4301508607) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2024-08-02 |