| NPI | 1043651318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X (Licence: AZ 70029) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 60884) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-09-26 |