| NPI | 1255793907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MA 283912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 267401) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-06-08 |