| NPI | 1144783812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T7300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09925) |
| 208000000X Pediatrics (Licence: MO 2019019249) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-06-01 |