| NPI | 1568763357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 249693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 240501) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2013-01-11 |