| NPI | 1043584428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL TRN13816) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 8228555-1205) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |