| NPI | 1023579836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2022022862) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 250251) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-07-05 |