| NPI | 1558882605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 96683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL41041) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-09-30 |