| NPI | 1114312436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2022-00334) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-00334) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 80526) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-07-18 |