| NPI | 1568666717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NV 21128) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 56823-20) | 
| Enumeration Date | 2007-06-12 | 
| Last Update Date | 2021-06-16 |