| NPI | 1083913875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WA MD60464668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60464668) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2018-05-21 |