| NPI | 1497105548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T7021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016019259) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-12-31 |