| NPI | 1174511265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 214140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V1154) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MA 214140) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2024-05-08 |