| NPI | 1508165093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 14145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV DO1896) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2019-09-13 |