| NPI | 1417215658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 69337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 55654) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO 55654) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-06-23 |