| NPI | 1508177510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 284821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197579) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-08-23 |