| NPI | 1174698096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NY 240220) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NJ 25MA08742900) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-05-24 |