| NPI | 1518308204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T1931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288399-1) |
| 208000000X Pediatrics (Licence: OH 35.127278) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2021-07-20 |