| NPI | 1124634068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC NP1041632) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1041632) | 
| Enumeration Date | 2020-09-16 | 
| Last Update Date | 2025-10-31 |