| NPI | 1467803726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 11248425-1205) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IA R-12014) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN23261) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-03-08 |