| NPI | 1083354203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL 51131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87758) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-06-29 |