| NPI | 1174735690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA 60148265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088432) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-07-22 |