| NPI | 1477712131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301111067) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 232185) |
| 208000000X Pediatrics (Licence: MI 4301111067) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2019-01-10 |