| NPI | 1548585748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 111500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 111500) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2019-04-10 |