| NPI | 1083683619 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA C135644)  | 
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 002189)  | 
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 244920)  | |
| Enumeration Date | 2006-03-16 | 
| Last Update Date | 2015-05-22 |