| NPI | 1962604066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 66853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431229) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX n0109) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-09-08 |