| NPI | 1053730416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME176093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61971) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 61971) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R3536) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2026-07-28 |