| NPI | 1972665834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: ME 017706) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MT186411) |
| 207R00000X Internal Medicine (Licence: PA MD426107) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-08-16 |