| NPI | 1124634068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC 1041632) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1041632) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-10-30 |