| NPI | 1194145623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA10798500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10798500) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-03-25 |