| NPI | 1912770660 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 191965)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 191965)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-11-03 | 
| Last Update Date | 2024-05-08 |