| NPI | 1164802740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 59046) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59046) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-01-16 |