| NPI | 1265300123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX 1216138) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1216138) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-12-01 |