| NPI | 1447461520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 48619) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NY 232402) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-11-21 |