| NPI | 1265734297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 2574821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257482-1) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2017-05-09 |