| NPI | 1376818476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD60573226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60292766) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-09-29 |