| NPI | 1265961999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 1013907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD17181) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-02-22 |