| NPI | 1457492076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60805) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MN 50473) |
| 208000000X Pediatrics (Licence: MN 50473) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-07-10 |