| NPI | 1154540888 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2008012511) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M8216) | 
| Enumeration Date | 2007-04-24 | 
| Last Update Date | 2023-07-05 |