| NPI | 1609518711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SC 93940) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 58.032826) |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2025-06-14 |