| NPI | 1235591819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2023-02822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10561200) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-02-21 |