| NPI | 1356958748 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 1-157971)  | 
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL 1-157971)  | 
| Enumeration Date | 2020-09-29 | 
| Last Update Date | 2020-09-29 |