| NPI | 1154375061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 48930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216985) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 216985) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2012-12-11 |