| NPI | 1023513447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V6716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021018439) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX V6716) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-08-28 |