| NPI | 1265783039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A122929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122929) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-09-18 |