| NPI | 1962490904 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 033348)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 033348)  | 
| Enumeration Date | 2005-10-13 | 
| Last Update Date | 2015-01-15 |