| NPI | 1396199048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 70030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59850) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 70030) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-05-20 |