| NPI | 1023309291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA OS022016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 278862-1) |
| 208000000X Pediatrics (Licence: PA OS022016) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-09-30 |