| NPI | 1962504720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KY 44029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01400) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2018-10-26 |