| NPI | 1457767436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 63179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S4925) |
| 208000000X Pediatrics (Licence: TN 63179) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-07-22 |