| NPI | 1588995450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 266606) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 41439) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 41439) | |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2016-06-08 |