| NPI | 1023319761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME124993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112476) |
| 208000000X Pediatrics (Licence: FL ME124993) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2016-11-16 |