| NPI | 1467752451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NE 111185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 111185) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |