| NPI | 1255666335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: LA 348591) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX Q5763) |
| 207Q00000X Family Medicine (Licence: TX Q5763) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2026-01-28 |