| NPI | 1316320633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.145516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 123223) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2022-08-31 |