| NPI | 1225244122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101248139) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 6026959-1205) | 
| Enumeration Date | 2007-05-15 | 
| Last Update Date | 2010-11-10 |