NPI | 1942593876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD198359) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098522) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA MD60739968) | |
Enumeration Date | 2011-05-25 |
Last Update Date | 2020-11-12 |