| NPI | 1205040128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NE 25662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.008420) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2010-06-23 |