| NPI | 1457510554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA 60221661) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60221661) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-05-29 |