| NPI | 1235356544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 45429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 45429) |
| 208000000X Pediatrics (Licence: TN 45429) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-09-06 |