| NPI | 1306019138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 54052-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54052-20) |
| 208000000X Pediatrics (Licence: WI 54052-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2015-06-11 |