| NPI | 1003097221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX N9614) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N9614) | 
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N9614) | |
| Enumeration Date | 2007-11-15 | 
| Last Update Date | 2018-12-12 |