| NPI | 1235330283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 272097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA mt188834) |
| 208000000X Pediatrics (Licence: WA MD60150963) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-01-13 |