| NPI | 1972248300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101279434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101279434) |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2026-07-10 |