| NPI | 1164942553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 57931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020019637) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 57931) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-12-04 |